Amare Villa

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Evelin Rios arrived to the facility listed above to conduct an unannounced annual inspection. LPA was greeted and granted access by a staff member. Upon entry, LPA signed in, observed appropriate postings and two (2) staff members in the facility. Staff contacted the Administrator, Renelyn Landicho. LPA met with administrator shortly after. LPA explained the reason for the visit. At 9:00 AM, LPA Rios with the assistance of staff and later with the administrator conducted a physical plant tour of the facility inside and out and the following was observed: Near the main entrance, LPA observed two (2) of the six (6) resident bedrooms (#5 and #6). These bedrooms are designated for private use and were appropriately furnished. Further inside the facility, LPA observed an open-concept living area, dining area, and kitchen. The living area was furnished with a television and adequate seating for the facility’s capacity. The kitchen was equipped with functioning appliances and fixtures. LPA observed knives and other sharps locked in a kitchen drawer, and cleaning supplies locked under the kitchen sink. The facility has a two-day perishable and a seven-day non-perishable supply of food. The dining area has appropriate tables and chairs to accommodate the facility’s capacity. LPA did not observe any tripping hazards. LPA observed one (1) of two (02) fire extinguishers fully charged with purchase date 03/20/2026. On the kitchen counter LPA observed the facility telephone accessible to residents in care. In the hallway leading to the four (4) other resident bedrooms and the bathrooms, LPA observed a closet containing facility storage and emergency water. (Continue to LIC809-C) (Continued LIC809-C) LPA also observed hallway cabinets with a fully stocked first aid kit and a first aid manual. Each resident bedroom was observed to be properly furnished, with adequate lighting and sufficient storage space. Bedroom #1 is currently used as a staff bedroom. LPA observed a fully charged fire extinguisher in the hallway outside of bedroom #4 fully charged with serviced date 08/25/2025. The facility has a total of three (3) bathrooms, one (1) of which is located inside the shared bedroom. LPA measured the hot water temperature in two (2) of the three (3) bathrooms. At 9:30 AM, the hot water temperature measured 108.1 and 108.7 degrees Fahrenheit, within regulation. The bathrooms were observed to be clean and properly supplied with toilet paper, paper towels, and hand soap. Bathrooms were equipped with grab bars and non-slip mats. The laundry room was observed locked. Inside the laundry room LPA observed a washer and dryer, the facility stores detergents in a locked cabinet. In a separate locked cabinet, LPA observed residents’ centrally stored medication and facility records. Another cabinet contained extra linens. Through the laundry room there is access to the attached garage. In the garage, LPA observed a second refrigerator used to store overflow food. The backyard is fenced in. There is a covered patio and appropriate furniture for residents to use. LPA observed a locked shed being used for storage. There are no bodies of water. Doors leading to the outside were equipped with auditory alarms that were observed on and functioning properly. From approximately 10:00 a.m. to 12:00 PM, LPA reviewed facility records, including four (4) of four (4) resident files and four (4) staff files. LPA reviewed the Emergency and Disaster Plan for Residential Care Facilities for the Elderly (LIC 610E) and the facility’s Emergency Evacuation Plan sketch. LPA observed that the sketch did not match the version submitted with the Fire Safety Inspection Request (STD 850). The administrator stated that the licensee had changed the room designations. Review of residents record determined there were no bedridden residents. The administrator agreed to update the Emergency Evacuation Plan Sketch so that it matches the Facility Sketch submitted with the STD 850 for consistency. LPA reviewed the facility’s current liability insurance, the LIC 500, and documentation of the most recent fire drill conducted on 03/11/2026. Documents were current. (Continue to LIC809-C) Centrally Stored Medication Records are completed manually, and the facility maintains a Medication Administration Record (MAR). Records were observed to be complete, up-to-date, and in compliance with licensing requirements. At 12:15 PM, LPA observed the administrator test a dual smoke and carbon monoxide detector. Detectors are hardwired and interconnected to other detectors located through out the facility. Detectors were observed to be functioning properly. There is a fire door leading to resident bedrooms that automatically closed during the test. Pursuant to Title 22 Division 6 of the CA Code of Regulations, no deficiencies observed during the annual visit. Exit interview conducted. A copy of this report provided to administrator.the state’s words, verbatim · CDSS document, May 4, 2026

Type of visit: Required - 1 Year

On 05/14/2023 at 1:20 p.m. Licensing Program Analyst (LPA) Evelin Rios arrived at the facility listed above to conduct an unannounced annual inspection using the CARE Inspection Tool. LPA was greeted and granted access by staff #1 (S1). LPA observed appropriate postings upon entry. S1 contacted the the Administrator, Renelyn Landicho. LPA met with administrator shortly after. LPA explained the reason for the visit. At 1:28 p.m., LPA Rios and the administrator conducted a physical plant tour of the facility inside and out and the following was observed: Bedrooms: LPA inspected six (06) out of six (06) for resident bedroom. LPA observed each resident bedroom to be properly furnished and have sufficient lighting and storage. Bathrooms: The facility has three (03) total bathrooms one (1) of which is located in the shared bedroom. LPA took hot water temperature from two (02) out three (03) bathrooms. At 1:49 p.m. the temperatures ranged from 107.8 and 107.4 degrees Fahrenheit, within regulation. LPA observed the bathrooms to be clean and properly supplied with toilet paper, paper towels, and hand soap. LPA observed a closet by the bedrooms with emergency food. Laundry/Garage: Laundry room is kept locked and is a passageway to the garage. Detergents and cleaning chemicals are kept locked in the laundry room. LPA observed a washer and dryer and extra clean linens. Garage is not accessible to residents. In the garage LPA observed a second fridge with extra food stored for residents. By the laundry room LPA observed a fully stocked first aid kit and manual. (Cont. on LIC809-C) (Continued LIC809-C) Living room: The living room was clean and properly furnished. There is a television and seating for the capacity of the facility. On two (02) sliding doors LPA observed mechanisms used to keep the doors locked when the sliding doors already have a lock on the door handle. Although the mechanism is able to open without a key the facility has has three (3) non ambulatory residents. The administrator removed both mechanism immediately. Surrounding Grounds: There is a covered patio and appropriate furniture for residents to use. LPA observed a locked shed being used for storage. Side gate was checked to insure it was clear of obstruction. There are no bodies of water. Kitchen/ Dinning area: The kitchen was observed to be clean and clear of clutter. Appliances and fixtures were functioning properly. LPA observed knives and sharps locked in drawer. LPA observed a sufficient amount of 2- day perishable and 7-day non-perishable food at the facility, properly stored. Dining area had appropriate table and chairs to sit the capacity of the facility. Resident/Staff Records: From approximately 1:56 p.m. to 4:10 p.m. LPA reviewed six (06) out of (06) resident records and three (03) staff records. Records were observed complete, up-to-date and in compliance with licensing forms. LPA reviewed the facility's Infection Control Plan, Emergency Disaster Plan (LIC610E) and Liability Insurance, documents were reviewed by the administrator and up-to-date. Facility last conducted a Disaster Drill on 04/04/25 and a Fire Drill on 04/09/25. Medications are centrally stored and maintained locked in a designated cabinet located in the laundry room. Medications were observed locked. Centrally Stored Medication Records are filled in manually and facility keeps a Medication Administration Record (MAR). LPA observed one (02) fire extinguishers fully charged one was last serviced on 08/15/2024 and the other was purchased on10/15/2024. At 4:25 p.m. LPA observed the administrator test a dual smoke and carbon monoxide detector. Detectors are hardwired and interconnected to other detectors located through out the facility. Detectors were observed to be functioning properly. There is a fire door leading to the bedrooms that automatically closed during the test. Deficiency cited and cleared on todays visit. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, May 14, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tihesha Smith conducted an unannounced 1-year visit to this facility. LPA Smith was greeted by the administrator. LPA conducted a tour at 11:15 am of the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. LPA Smith inspected the common areas. This included the living room, dining areas, s. All common areas were observed well lit, clean and free of clutter. Furniture appeared clean, in good repair and adequate seating for residents. The kitchen food supply was observed and sufficient for the five (5) residents. Two (2) days of perishable fruits, vegetables, drinks observed. The kitchen was observed to be sanitary. The sharps are locked in kitchen island drawer and observed to be inaccessible. There is an additional refrigerator with food replenishment in the garage. The medication is stored in laundry room upper cabinets. The cabinets were observed to be locked and inaccessible to residents. First aid kits and PPEs stored in office area and observed to be stocked. There are six (6) bedrooms in the home designated for residents’ use. All bedrooms were properly furnished and had sufficient lighting. There are two (2) bathrooms in home for residents’ use. Each bathroom has posted “wash your hands” signs and were clean, properly supplied and had functional fixtures. The hot water temperature for resident bathrooms as follows: Bathroom #1 at 107.9 Fahrenheit and bathroom #2 bathroom at 114.6 degrees. The garage is locked and only accessible from the inside. The laundry room is located in throughway to the garage. Washer and dryer observed to be in good repair. The toxins are stored and locked in cabinets in laundry room. Toxins observed to be inaccessible to residents. (Cont fron 809C) Smoke alarms and carbon monoxide detectors were present and function properly at time of visit. There is one (1) fire extinguisher attached to kitchen wall near patio door and observed to charged. The backyard has a covered patio area, including a two tables, and chairs observed with adequate seating. LPA Smith reviewed facility operations book at approximately 10:45 am-11:15 am. Staff and resident files reviewed at approximately 1:15 pm -2:50 pm. Records observed to be complete files. Staff records have current First aid certificates on file. Resident record had admission agreements and physician's report on file. No hazards are deficiencies observed at time of visit. Exit interview conducted/Copy of report giventhe state’s words, verbatim · CDSS document, Apr 19, 2024